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Urinary Tract Infections

VA Nursing Homes Implement Robust Surveillance of Urinary Tract Infections

Catheter-associated urinary tract infection (CAUTI) surveillance practices within Veterans Administration (VA) nursing homes were more robust than those at non-VA nursing homes, according to a recent study.

Researchers who surveyed 47 VA and 306 non-VA facilities in 41 states found 94% of VA nursing homes conduct CAUTI surveillance compared with 66% of non-VA nursing homes.

VA nursing homes devoted, on average, 31 hours per week to infection-prevention activities compared with 12 hours by non-VA nursing homes. Non-VA nursing homes, however, were more likely to have policies concerning appropriate catheter use or catheter insertion.

The authors concluded the centralized infrastructure of the VA, increased numbers and training of staff, as well as the use of national VA benchmarks and leadership engagement, likely accounted for their findings. For details, see Mody et al. (2017).

Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non-Veterans Affairs nursing homes. Infection Control and Hospital Epidemiology, 38(3), 287-293.

Toolkit Designed to Reduce Urinary Tract Infections in Long-Term Care

A new evidence-based toolkit from the Agency for Healthcare Research and Quality (AHRQ) can help long-term care facilities reduce catheter-associated urinary tract infections (CAUTIs).

The toolkit uses strategies from AHRQ’s Comprehensive Unit-based Safety Program (CUSP), which has reduced CAUTI as well as central line-associated bloodstream infections in hospitals.

The toolkit is based on the experiences of more than 450 long-term care facilities nationwide and resulted in a significant reduction of CAUTI rates.

Toolkit modules, which are customizable to local needs, include Using the Comprehensive Long-Term Care Safety Toolkit, Senior Leader Engagement, Staff Empowerment, Teamwork and Communication; Resident and Family Engagement, and Sustainability.

Access the toolkit and a new AHRQ Views blog, “Help for Nursing Homes in Fighting HAIs.”

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